Physician
Zambrano, Rosario
Zambrano, Rosario was paid $3.55M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoZAMBRANO, ROSARIO
EAST ORANGE, NJ 07017
EAST ORANGE, NJ 07017
33aNPI1659328839assigned 05/31/2006
33bProvider typePediatrics Physician
28Total paid$3.55M
24GClaims129,562
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#40 of 549
Median peer was paid$154K
This provider vs. median23×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,527 | $667K | |
| 2019 | 17,530 | $550K | |
| 2020 | 20,117 | $547K | |
| 2021 | 19,032 | $470K | |
| 2022 | 20,633 | $480K | |
| 2023 | 18,365 | $498K | |
| 2024incomplete | 12,358 | $342K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 20,660 | 18,684 | $851K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 11,327 | 10,495 | $676K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 3,508 | 3,425 | $237K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 3,272 | 3,189 | $208K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 3,448 | 3,297 | $191K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 6,522 | 6,081 | $191K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 2,693 | 2,626 | $184K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.1% | 8,341 | 7,902 | $182K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 7,177 | 6,988 | $136K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.8% | 3,130 | 3,130 | $133K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 786 | 768 | $68K |
| 92551 | 1.7% | 7,108 | 6,944 | $62K |
40 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 4,321 | $57K |
| 94664 | 1.5% | 6,343 | $54K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 1,915 | $50K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.1% | 687 | $38K |
| 90619 | <1% | 322 | $33K | |
| 90461 | <1% | 2,435 | $30K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,787 | $28K |
| 90649 | <1% | 266 | $22K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,423 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 163 | $10K |
| 96127 | <1% | 6,567 | $9K | |
| 90677 | <1% | 76 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,218 | $8K |
| 90716 | <1% | 406 | $8K | |
| 99173 | <1% | 5,750 | $7K | |
| 90658 | <1% | 1,602 | $7K | |
| 90734 | <1% | 202 | $5K | |
| 99188 | <1% | 282 | $5K | |
| 90670 | <1% | 447 | $4K | |
| 96160 | <1% | 4,661 | $4K | |
| 90707 | <1% | 331 | $4K | |
| 90651 | <1% | 51 | $3K | |
| 99381 | <1% | 49 | $3K | |
| 0072A | <1% | 87 | $3K | |
| 90700 | <1% | 786 | $3K | |
| 0001A | <1% | 82 | $3K | |
| 94010 | <1% | 100 | $2K | |
| 0071A | <1% | 48 | $2K | |
| 90713 | <1% | 497 | $2K | |
| 0002A | <1% | 52 | $2K | |
| 90715 | <1% | 115 | $1K | |
| 90633 | <1% | 286 | $1K | |
| 99383 | <1% | 12 | $887.33 | |
| 99441 | <1% | 77 | $727.08 | |
| 99442 | <1% | 44 | $637.44 | |
| 90648 | <1% | 542 | $586.24 | |
| 90744 | <1% | 54 | $189.26 | |
| 90657 | <1% | 14 | $17.03 | |
| 91300 | <1% | 345 | $11.00 | |
| 99000 | <1% | 145 | $5.07 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.